The case described in this article was one of intermittent gonococcal bacteremia in a woman, in which positive cultures were obtained from the genital organs (cervix, uterine cavity and tubes) without any evidence, either gross or microscopic, of a local acute inflammatory reaction. A thorough search of the literature failed to reveal a similar case treated surgically. In the majority of the cases in the literature, the bacteremia had followed an acute gonorrhea. The treatment of this case by surgical means apparently opens up a new field in the therapy of this disease. The history of the case in detail is as follows:

REPORT OF CASEN. H., a woman, aged 19, single, born in the United States and employed as a bottle filler, was admitted to the New York Hospital, first medical division,1 June 6, 1928. Her chief complaints were of pains in the left arm and left